摘 要: 职业性手臂振动病 (hand⁃arm vibration disease, HAVD) 是我国法定职业病, 指长期从事手臂振动作业所引起的以手臂末梢循环或神经功能障碍、 骨关节损伤为主的全身性疾病。 一般难以治愈, 严重影响生活质量。 近年来随着振动工具以及生产方式更新, HAVD 发病特点发生明显改变。 本文从 HAVD 临床症状、 生化指标改变、 损伤分析、 诊断指标、 治疗技术、 治疗效果评价等方面作一概述, 为 HAVD 治疗技术更新与防治规范制定提供参考, 保护职业性手臂振动接触者健康。 |
关键词: 手臂振动病 (HAVD) 临床症状 损伤 治疗 |
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基金项目: 广州市医药卫生科技重大项目(2009-ZDa-01);广州市科技计划重大项目(2010GN-E00221);广州市民生科技重大项目(2012Y2-00029-1);广州市“121人才梯队工程”后备人才项目;广东省医学科研基金项目(编号:A2016429) |
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Research progress on occupational hand⁃arm vibration disease |
ZHANG Biao, ZHANG Zhi⁃hu, FENG Tong⁃xin , LI Shuang⁃shuang , LI Long
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(School of Medicine and Life Sciences, University of Jinan and Shandong Provincal Academy of Medical Sciences, Jinan250062, China)
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Abstract: As a legal occupational disease in China, occupational hand⁃arm vibration disease (HAVD) refers to a systemic disease by long⁃term arm vibration, characterized by peripheral circulattory or neurological dysfunction of arm, bone joint injuries, generally is difficulty to be cured and severely affects the life quality of patients. Recently, with the updating of vibration tools and production methods, the characteristics of HAVD have significantly changed. This paper would make a brief review on clinical symptoms, biochemical indicators, damage analysis, diagnostic indicators, therapy techniques, assessment of treatment effect, etc. of HAVD, thereby provide some reference for the development of HAVD treatment technology and control regulations, and better protect the occupational arm vibration workers health. |
Keywords: hand⁃arm vibration disease (HAVD) clinical symptoms damage treatment |